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Case summary

  • Patient: male 59 y
  • Angina CCS II since several weeks
  • Stress test abnormal, normal LVEF 60% in may 2016
  • CVRF:  smoking, dyslipidemia, hypertension
  • 2 vessel diseases:
  • CTO of mid RCA
  • Severe stenosis LAD/D1 with PCI   and DES in may 2016 (bifurcation)
  • J-CTO-score:  1 (blunt stump)
  • Progress score:  0
  • Anatomy:  proximal cap, distal bifurcation
  • Distal vessel with disease
  • 1st strategy : antegrade and wire escalation. 2nd option : epicardial collateral and reverse cart. 3rd option : Septal

Description of procedure

  • Antegrade approach
  • Trapping balloon
  • Crossign the occlusion by the distal part
  • Distal stenting
Shooting date : 2016-06-27
Last update : 2017-07-18
Daniel Weilenmann
St. Gallen, Switzerland
Gregor Leibundgut
Liestal, Switzerland

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